Dr Katherine Nolan Lu, MD is a medicare enrolled "Dermatology" physician in Crawfordsville, Indiana. She went to Icahn School Of Medicine At Mount Sinai and graduated in 2014 and has 11 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Wilmington Dermatology Center Pllc and her current practice location is
1601 Lafayette Rd Ste 100, Crawfordsville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 362-1212.
Dr Katherine Nolan Lu is licensed to practice in Indiana (license number 01097241A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720405087.
Physician's Profile
| Full Name | Dr Katherine Nolan Lu |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 11 Years |
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| Location | 1601 Lafayette Rd Ste 100, Crawfordsville, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Katherine Nolan Lu attended and graduated from Icahn School Of Medicine At Mount Sinai in 2014
NPI Data:
- NPI Number: 1720405087
- Provider Enumeration Date: 03/25/2014
- Last Update Date: 11/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 9032465877
- Enrollment ID: I20230424000992
Medical Identifiers
Medical identifiers for Dr Katherine Nolan Lu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720405087 | NPI | - | NPPES |
| 109106700 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | A152052 (California) | Secondary |
| 207N00000X | Dermatology | 01097241A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wilmington Dermatology Center Pllc | 0042385627 | 8 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Katherine Nolan Lu allows following entities to bill medicare on her behalf.
| Entity Name | Wilmington Dermatology Center Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750537858
PECOS PAC ID: 0042385627
Enrollment ID: O20080815000446 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Katherine Nolan Lu is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Katherine Nolan Lu, MD
Po Box 734240,
Chicago, IL 60673-4240
Ph: (765) 362-1212 | Dr Katherine Nolan Lu, MD
1601 Lafayette Rd Ste 100,
Crawfordsville, IN 47933-1032
Ph: (765) 362-1212 |
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